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Methods Inf Med 1996; 35(01): 52-58
DOI: 10.1055/s-0038-1634632
Original Article
Schattauer GmbH

Cardiological Database Management System as a Mediator to Clinical Decision Support

C. Pappas
1   Laboratory of Medical Informatics, The Medical School, Aristotle University of Thessaloniki, Greece
,
A. Mavromatis
1   Laboratory of Medical Informatics, The Medical School, Aristotle University of Thessaloniki, Greece
,
N. Maglaveras
1   Laboratory of Medical Informatics, The Medical School, Aristotle University of Thessaloniki, Greece
,
A. Tsikotis
2   Cardiological Institute of Northern Greece, Thessaloniki, Greece
,
G. Pangalos
3   Informatics Laboratory, Computers Division, Faculty of Technology, Aristotle University of Thessaloniki, Greece
,
V. Ambrosiadou
1   Laboratory of Medical Informatics, The Medical School, Aristotle University of Thessaloniki, Greece
› Author Affiliations
Further Information

Publication History

Publication Date:
14 February 2018 (online)

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Abstract

An object-oriented medical database management system is presented for a typical cardiologic center, facilitating epidemiological trials. Object-oriented analysis and design were used for the system design, offering advantages for the integrity and extendibility of medical information systems. The system was developed using object-oriented design and programming methodology, the C++ language and the Borland Paradox Relational Data Base Management System on an MS-Windows NT environment. Particular attention was paid to system compatibility, portability, the ease of use, and the suitable design of the patient record so as to support the decisions of medical personnel in cardiovascular centers. The system was designed to accept complex, heterogeneous, distributed data in various formats and from different kinds of examinations such as Holter, Doppler and electrocardiography.

Keywords

Cardiological Database Management System - Object-oriented Programming
 

  • REFERENCES

  • 1 Shortliffe E. Computer based Medical Consultations. MYCIN. New York: American Elsevier; 1976
    Search in Google Scholar
  • 2 Pople H, Myers J, Miller R. DIALOG: a model of diagnostic logic for internal medicine. In: MIT Artificial Intelligence Laboratory Publications. Fourth International Joint Conference on Artificial Intelligence. Cambridge: 1975: 848-57.
    Search in Google Scholar
  • 3 Sage A. Decision Support Systems Engineering. New York: Wiley; 1991
    Search in Google Scholar
  • 4 Minsky M. The Psychology of Computer Vision. Winston: 1975
    Search in Google Scholar
  • 5 Hurson A, Pakzad S, Cheng J. Object-oriented database management systems: Evolution and performance issues. IEEE Comp Mag 1993; 26: 48-60.
    PubMedSearch in Google Scholar
  • 6 Horslen S, Capey A, Casey A, Helms P. Basic health care functions: an object-oriented analysis. Med Inform 1992; 17: 187-94.
    PubMedSearch in Google Scholar
  • 7 Ruggiero C, Brunelli C, Fortuna S, Giacomini M, Caponnetto S. A multimedial database for cardiological data. In: Porc World Congress on Medical Physics and Biomedical Engineering. Rio de Janeiro: 1994: 541.
    Search in Google Scholar
  • 8 Heverhagen T, Flor T. An object-oriented data model for multimedial medical data. In: Proc World Congress Oil Medical Physics and Biomedical Engineering. Rio de Janeiro; 1994: 550.
    Search in Google Scholar
  • 9 Franczyk B, Flor T, Wendrowski W. New architecture for distributed object-oriented medical database management systems. In: Proc World Congress on Medical Physics and Biomedical Engineering. Rio de Janeiro: 1994: 548.
    Search in Google Scholar
  • 10 Ceversato E, Nicolosi GL, Rellini GL, Zanuttini D. A new approach to ECG tracing storage allowing full integration with a clinical database. In: IEEE Computers in Cardiology. London: 1993: 559-62.
    Search in Google Scholar
  • 11 Braga A, Pinheiro R, Nobre F. SIGEPI – A geographical inforamtion system for application in epidemiology and public health. In: Proc World Congress on Medical Physics and Biomedical Engineering. Rio de Janeiro: 1994: 541.
    Search in Google Scholar
  • 12 Sonksen PH, Harrison J, Gold G. Health care concepts and the role of modeling. Diab Nutr Metab 1991; 4 (Suppl. 01) 21-7.
    PubMedSearch in Google Scholar
  • 13 Lu XM, Dillon T. An algebraic theory of object-oriented systems. IEEE Trans Knowl Data Eng 1994; 6: 412-9.
    CrossrefPubMedSearch in Google Scholar
  • 14 Beck H, Anwar T, Navathe S. A conceptual clustering algorithm for database schema design. IEEE Trans Knowl Data Eng 1994; 6: 396-411.
    CrossrefPubMedSearch in Google Scholar
  • 15 Barsalou T. An object-based architecture for biomedical expert database system. Comput Meth Progr Biomed 1989; 3D: 157-67.
    PubMedSearch in Google Scholar
  • 16 Heathfield H, Armstrong J, Kirkham N. Object-oriented design and programming in medical decision support. Com put Meth Progr Biomed 1991; 36: 239-51.
    PubMedSearch in Google Scholar
  • 17 Pappas C, Tsikotis A, Mavromatis A, Pashalouthi V, Pangalos G, Maglaveras N. Cardiological database management using object-oriented analysis. In MIE Proceedings. 1993: 758-61.
    PubMedSearch in Google Scholar
  • 18 Kaindl H. Comparing object-oriented analysis with knowledge acquisition. ACM OOPS Messenger 1994; 5: 1-5.
    PubMedSearch in Google Scholar
  • 19 Coad P, Yourdon E. Object-Oriented Analysis. New Jersey: Yourdon Press; 1990
    Search in Google Scholar
  • 20 Deux O. The Story of O2 . IEEE Trans Knowl and Data Eng 1990; 2: 91-108.
    PubMedSearch in Google Scholar
  • 21 Kim W. Object-Oriented: Definition and research directions. IEEE Trans Knowl Data Eng 1990; 2: 327-41.
    CrossrefPubMedSearch in Google Scholar
  • 22 Meyer B. Object-Oriented Software Construction. London: Prentice Hall; 1988
    Search in Google Scholar
  • 23 Pangalos. Medical database security policies. Meth Inform Med 1993; 32: 349-56.
    PubMedSearch in Google Scholar
  • 24 Gritzalis O, Katsikas S, Keklikoglou J, Tomaras A. Data security in medical information system: technical aspects of a proposed legislation. Med Inform 1991; 16: 371-83.
    PubMedSearch in Google Scholar
  • 25 Borland Paradox Engine Version 3.0 Reference Guide. Borland International, Inc CA; 1992
    PubMedSearch in Google Scholar
  • 26 Foley J, van Dam A, Feiner S, Hughes J. Computer Graphics; Principles and Practice. Addison-Wesley; 1990
    Search in Google Scholar
  • 27 Coiera E. Incorporating user and dialogue models into the interface design of an intelligent patient monitor. Med Inform 1991; 16: 331-46.
    PubMedSearch in Google Scholar
  • 28 Willems JL, Zywietz C, Rubel P. et al A standard communications protocol for computer-assisted electrocardiography. In: Noothoven van Goor J, Christensen JP. eds Advances in Medical Inforl1lafics. Amsterdam: IOS Press; 992.
  • 29 OEDIPE Project. Demonstrator of the implemented conceptual reference model for ECG storage. AIM project # 2026. Deliverable 9 1994
    PubMedSearch in Google Scholar
  • 30 Rubel P, Willems J, Zywietz C, Fayn J. Towards open data interchange and processing of serial ECGs. IEEE Computers in Cardiology. Durham: 1992: 79-82.
    Search in Google Scholar
  • 31 AIM-CEN. European Workshop all the Medical Record. Commission of the European Communities; Brussels: 1993
    Search in Google Scholar
  • 32 Van Mulligen E, Timmers T, Brand J. et al HERMES: a health care workstation integration architecture. Int J Biomed Comput 1994; 34: 267-75.
    CrossrefPubMedSearch in Google Scholar